Migraine Equivalents and Complicated Migraine

1991 ◽  
Vol 75 (3) ◽  
pp. 567-578 ◽  
Author(s):  
John Edmeads
Keyword(s):  
Complicated Migraine ◽  
Migraine Equivalents

JUVENILE MIGRAINE, PRESENTING AS AN ACUTE CONFUSIONAL STATE

PEDIATRICS ◽  
1970 ◽  
Vol 45 (4) ◽  
pp. 628-635
Author(s):  
Generoso Gascon ◽  
Charles Barlow
Keyword(s):  
Metabolic Disease ◽  
Initial Presentation ◽  
Toxic Encephalopathy ◽  
Acute Confusional State ◽  
Confusional State ◽  
Clinical Criteria ◽  
Neurological Signs ◽  
Mental Disturbance ◽  
Unilateral Headache ◽  
Complicated Migraine

In the literature, complicated migraine usually connotes paroxysmal unilateral headache and vomiting associated with neurological signs, such as hemiplegia, hemianopsia, aphasia, ophthalmoplegia, or syncope. A not uncommon form of complicated migraine in childhood is the presentation with an acute confusional state. Four cases are described. Emphasis is placed on the initial presentation with disturbed sensorium and consciousness, with varying degrees of agitation, and the difficulty for the clinician in distinguishing from other causes of acute mental disturbance, such as toxic-metabolic psychoses due to drug ingestion or known metabolic disease, encephalitis, acute toxic encephalopathy, and epilepsy, particularly petit mal status and postictal confusion. The diagnosis of migraine was made only after the acute episode, when the usual clinical criteria for making a diagnosis of migraine was established in retrospect or by subsequent course. In all cases the episodes of confusion were single ones, with no repetition of similar attacks, although the classic or common types of migraine often reoccurred.

scholarly journals Getting a handle on complicated migraine

2015 ◽  
pp. bcr2015210763 ◽  
Author(s):  
Tarig Mohammed Abkur ◽  
Enda McGowan ◽  
Hugh Kearney ◽  
Timothy J Counihan
Keyword(s):  
Complicated Migraine

Common Migraine and Vestibular Function

1981 ◽  
Vol 90 (3) ◽  
pp. 267-271 ◽  
Author(s):  
Joseph U. Toglia ◽  
David Thomas ◽  
Arieh Kuritzky
Keyword(s):  
Family History ◽  
Motion Sickness ◽  
Neurological Disorders ◽  
Vestibular Function ◽  
Common Type ◽  
Vascular Headache ◽  
Hemiplegic Migraine ◽  
History Of ◽  
Complicated Migraine ◽  
The Common

Even though “classic migraine” and “complicated migraine” may be diagnosed readily, “common migraine” may be easily confused with other types of vascular headaches. This differential diagnosis is of great importance for the appropriate choice of drug therapy. It is frequently stated that family history of migraine and history of motion sickness in childhood suggest that a periodic vascular headache is most likely of migrainous origin; although this statement applies to ophthalmoplegic and hemiplegic migraine, it is doubtful that it applies to common migraine. In fact, in a pilot study of patients with common migraine, we have observed that family history and history of motion sickness in childhood did not contribute to the diagnosis. Vestibular dysfunctions are frequently associated with migraine including the common type. Utilizing labyrinthine tests with the aid of electronystagmography, abnormalities of labyrinth function were demonstrated in 80% of patients with common migraine who had no history of vertigo or of other otological and neurological disorders.

Fluctuating hearing losses in children can be migraine equivalents

1988 ◽  
Vol 16 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Philippe A. Bernard ◽  
Robert J. Stenstrom
Keyword(s):  
Migraine Equivalents

scholarly journals Case Report: Migrainous Infarct without Aura

2017 ◽  
Vol 9 (3) ◽  
pp. 241-251
Author(s):  
Kamesh Gupta ◽  
Anurag  Rohatgi ◽  
Shivani Handa
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Case Report ◽  
Rare Case ◽  
Case Presentation ◽  
The Past ◽  
Need To Evaluate ◽  
History Of ◽  
Complicated Migraine ◽  
Full Investigation

Background: Stroke in a migraine with aura has been documented in several cases, even deserving the merit of a classification as complicated migraine. Herein, we present a rare case of migrainous infarct without aura. The diagnosis was challenging due to lack of risk factors. The patient was unique in not having any other comorbidities. Case Presentation: The case is of a 21-year-old female presenting with right-sided hemiplegia and facial drooping. She had had an index presentation of throbbing headaches for the past 2 years, typical of a migraine but not preceded by any aura symptoms. However, in the current episode, the pain became excessively severe and accompanied by right-sided hemiplegia and facial drooping. A full investigation workup using MRI revealed evidence of infarct in the left temporoparietal and basal ganglion region. Conclusion: Our case highlights the need to evaluate silent ischemic stroke in case of prolonged headache with a history of migraine as well as the need for precaution to avoid the use of triptans or opioids in such a case. It also highlights the conditions that need to be excluded before labeling it as a migrainous infarct.

scholarly journals Vestibular Syndromes in Childhood and Adolescence

2020 ◽  
Vol 24 (04) ◽  
pp. e477-e481
Author(s):  
Juliana Antoniolli Duarte ◽  
Elisa Morais Leão ◽  
Daniel Sobral Fragano ◽  
Germana Jardim Marquez ◽  
Anna Paula Batista de Ávila Pires ◽  
...  
Keyword(s):  
Eating Habits ◽  
Signs And Symptoms ◽  
Vestibular Rehabilitation ◽  
Cross Sectional Study ◽  
Childhood And Adolescence ◽  
Therapeutic Success ◽  
Dietary Counseling ◽  
Cross Sectional ◽  
Close Relationship ◽  
Migraine Equivalents

Abstract Introduction The prevalence of vestibular disorders in childhood ranges from 0.4% to 15%; they may be the result of several factors, but most of the time it's an episodic vestibular syndrome related to migraine equivalents. Objective To evaluate the diagnostic and therapeutic aspects of children with vestibular signs and symptoms. Methods The present cross-sectional study evaluated data from the records of patients treated in an outpatient pediatric neurotology clinic over a 10-year period. These data included sociodemographic and clinical variables, results of complementary examinations, the treatment provided, and the clinical evolution. Results The sample was composed of 117 patients, with 54.7% of female subjects with a mean age of 10 years. The most prevalent diagnosis was benign paroxysmal vertigo of childhood (BPVC) (41.9%), followed by vestibular migraine (16.2%). The most prevalent complaint was vertigo (53.9% of the cases). Most patients (66.7%) had inadequate eating habits. Improvement of symptoms was observed in 40.4% of the patients treated with dietary guidance alone. In 80% of the cases, dietary counseling in combination with vestibular rehabilitation therapy achieved therapeutic success without the need of a drug treatment. Conclusion The predominant diagnosis was of BPVC, and its close relationship with the personal and family history of migraine, its benign evolution, and the importance of dietary guidance and vestibular rehabilitation for therapeutic success were observed.

scholarly journals Migraines Inhabituelles

1980 ◽  
Vol 7 (3) ◽  
pp. 185-190
Author(s):  
Louis E. Roy
Keyword(s):  
Clinical Characteristics ◽  
Raynaud's Disease ◽  
Complicated Migraine ◽  
Raynaud’S Disease

SUMMARY:From 123 hospital charts with a diagnosis of migraine, seen between the years 1974 and 1978, ten cases have been selected of complicated migraine and three cases of migraine with special features. A review, and a discussion of the clinical characteristics, and of the treatment of these unusual migraines has been made. The three cases with special features include migraine in association with hyperlipidemia, with Raynaud's disease and with meningioma.

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